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mental status exam words
fragmented thoughts- not connected
Cant go to macys......no money.......oh...i have a button.....man...whats the problem?.......they run....
invented words-symbolic to pt related to delusion
"iam afraid to go to the hospital because the grudigs are looking for em there"
random words with no associations
Iam fine..pie.....no sale......lazy boy......take it slow...time.....poop......chocolate pie.....up there
flight of ideas
rapid speech with out pause
talking then stops to say they forgot what they were gonna say
bow show doe hoe go hum bum
filling in memory gaps with fantasy
idea, impulse, or emotion that a person cannot stop or put out of his consciousness
involuntary repetition of same thought, phrase or motor response to different questions or situations
stuck on a thought
subjective, highly individualized associations that are derived from within the patient
detailed story to get to the point or to answer a question
progression of thought that move away from the question posed or respond to the communication offered
going off from train of thought
intrapsychic conflict converted and expressed in a symbolic somatic symptom
blind for an hour
numbness in hand
preoccupation with body symptoms and state of health regardless of neg tests
usually focused on a specific organ such as heart or lungs
multiple physiological complaints with no related cause --related to emotional rather than physiological causes
fixed false belief about one's state of health or bodily functions
my legs are broken
i have no organs
iam bleeding every where
repetitive act patient feels driven to
persistent thought patient is unable to control
irrational, unrealistic fear of objects or situations
repetitive speculation, often circular in nature, that interferes with rational thinking: excessive worrying
always thinking of the worst
always thinking of consequences
fixed false belief that cannot be changed by an appeal to reason
wife is cheating on me
she is planning to kill me
god will come for me today
I talked to god
delusion of control
thoughts of being controlled or influenced by outside forces
feeling unrealistically important
i can fly off this building
i am god
extreme suspiciousness and delusions of persecutions; belief of being singled out for unfair treatment
ideas of reference
incorrect interpretations of actual events, giving them special meaning to the person involved
everything has to do with the patient
that sign means i should take 3 steps to the left
she is wearing those boots because she wants to kick me
sensation of having experienced current feelings before
subjective/false sensory perceptions that can occur in any sensory modality
auditory, taste, smell
misinterpretation of real sensory experienced
a vase of flowers may look like a cat sitting on its hind legs
outward presentation of emotion
blunted (reduction in intensity), flat (lack of expression), restricted, sad, angry
happy, labile, depressed, angry
ask person place and time
attention and concentration test
remember 3 things
ask to repeat at end of conversation
general intelligence test
define a word
abstract thinking test
take a situation and make it general
dont count your chickens before the eggs hatch
insight and judgement test
what would you do if.........
perception and coordination test
have you had thoughts of killing yourself?
do you have a plan?
do they have equipment to do so?
is there a hx of attempts?